Objective To explore the related factors of upper urinary tract deterioration(UUTD)in spinal cord injury patients using intermittent catheterization(IC-SCI)in the community.Methods Patients with spinal cord injury in the Chinese community were selected for investigation between August 3 and August 31,2020.The included patients were divided into UUTD group and non-UUTD group.The basic information,intermittent catheterization practices,and urinary complications were compared between the two groups.Logistic regression was used to analyze the risk factors contributing to UUTD.Results A total of 431 patients were surveyed.Among them,there were 310 males and 121 females,246 cases in the non-UUTD group and 185 cases in the UUTD group.There were statistically significant differences in the disease duration,gender,etiology,urinary incontinence,urinary tract infection,bladder calculi and nephrolithiasis between the two groups(P＜0.05);there was no statistically significant difference in the other indicators between the two groups(P＞0.05).The results of logistic regression analysis showed that urinary tract infection[odds ratio(OR)=3.229,95％confidence interval(CI)(1.706,6.110),P＜0.001],nephrolithiasis[OR=4.846,95％CI(2.617,8.973),P＜0.001],and urinary incontinence[OR=2.345,95％CI(1.116,4.925),P=0.024]were risk factors for UUTD.Conclusion Urinary tract infection,nephrolithiasis and urinary incontinence are independent risk factors for UUTD in community-based IC-SCI patients and deserve attention for preventive strategies.
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